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NPI Code Detail

MEDICARE: JOSEPH PETER HIRSCH IV

MEDICARE: JOSEPH PETER HIRSCH IV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse774072-01NY

General Provider Information

NPI Number : 1134910417
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PETER HIRSCH IV
Provider Business Mailing Address
First Line : 1526 AGATE ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-2804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 NICOLLS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11794-0001
Country : US
Telephone Number : 631-689-8333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 06/01/2026

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